基于病因病机探讨冠脉慢性完全闭塞病变的中医诊治理论  

TCM diagnosis and treatment theory of chronic complete occlusion of coronary artery based on etiology and pathogenesis

作　　者：张文斌 陈凯明 王震[2] 薛一涛[2] ZHANG Wen-bin;CHEN Kai-ming;WANG Zhen;XUE Yi-tao(The First Clinical Medical College, Shandong University of Chinese Medicine, Shandong 250000, China;Cardiovascular Medicine Department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Shandong 250011, China)

机构地区：[1]山东中医药大学,山东济南250000 [2]山东中医药大学附属医院心血管科,山东济南250011

出　　处：《海南医学院学报》2020年第21期1666-1669,共4页Journal of Hainan Medical University

基　　金：国家自然科学基金资助项目(81774247)。

摘　　要：冠脉慢性完全闭塞病变(CTO)属于中医学“胸痹”“真心痛”范畴,其病因有虚实两方面,实为寒邪、血瘀、气滞、痰浊,虚为气虚、阴伤、阳衰,可因虚致病,亦可因实致病。本病的病机为心脉痹阻所致,其病机能够相互转化,可因实致虚或因虚致实。中医理论认为通则不痛,因此冠脉CTO病变治疗应以通为主,通补结合,可通过宣痹通阳、活血通络、芳香温通三个方面来治疗冠脉慢性完全闭塞病变,本文基于中医对于冠脉CTO病变的病因病机认识,为中医诊治提供理论依据,以解决西医介入学难题,发挥中医的独特优势,为临床诊治参考。Chronic total occlusive disease of the coronary artery belongs to the category of"chest palsy"and"true heart pain"in traditional Chinese medicine.Its etiology has two aspects deficiency of blood,blood stasis,qi stagnation,and phlegm.Failure can be caused by deficiency or disease.The pathogenesis of this disease is caused by obstruction of the heart pulse,and its pathogenesis can be transformed into each other.The theory of traditional Chinese medicine believes that the general rule is not painful.Therefore,the treatment of coronary CTO lesions should be based on the combination of Tong and Tong tonic.The chronic complete occlusive disease of the coronary artery can be treated through Xuanbi Tongyang,Huoxue Tongluo,and Aroma Wentong.Based on the Chinese medicine's understanding of the etiology and pathogenesis of coronary CTO lesions,it provides a basis for the diagnosis and treatment of traditional Chinese medicine,solves the problems of interventional medicine in western medicine,and gives play to the unique advantages of traditional Chinese medicine for clinical diagnosis and treatment.

关 键 词：CTO病变 中医病因病机 通补结合 宣痹通阳 活血通络 芳香温通 

分 类 号：R259[医药卫生—中西医结合]